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=Aspartate Aminotransferase= Aspartate Aminotransferase (AST), also known as Glutamic aspartic transaminase, glutamic oxaloacetic transaminase, and transaminase A., is an enzyme that is a member of the class-I pyridoxal-phosphate-dependent aminotransferase family. It is coded by the gene GOT1. It is a homodimer that is 413 amino acids long and serves a critical role in amino acid and carbohydrate metabolism, ureogenesis, and the transfer of reducing equivalents into the mitochondria and chloroplast. Within prokaryote cells it is exclusively found in the cytosol, but in eukaryotic cells there are cytosol, mitochondrial, and chloroplast isozymes.

In the human body it is produced in the brain, skeletal muscles, liver, pancreas, red blood cells, and kidneys. The wide range of tissues in which it is made, separates it from the similar enzyme alanine transaminase (ALT) which is found primarily in the liver. The level of AST in the body can be used as a marker for tissue disease or damage. As well, AST and ALT levels can be compared to pinpoint whether tissue damage is primarily found within the liver.

Structure
 AST is a homodimer that contains 16 α-helices and a β-sheet formed from 7 parallel and antiparallel strands. Each subunit contains an equivalent active site. The subunits connect at two sites: between their large domains and between the N-terminal residues and the large domain on the other subunit. This structure of AST varies minutely among organisms ranging from E. coli to humans. As well, the structure of the active site is highly conserved with a sequence homology of 25%.

Each subunit of the homodimer is further divided into a small and large domain. The small domain is comprised of the amino acids from the N-terminus to Pro 48 residue and from Met 326 to the C-terminus. The remaining amino acids make up the large domain, and the two domains are connected by a long α-helix consisting of 32 amino acids.

The large domain is where the active site of AST is found and to accommodate this, the core contains many α/β supersecondary structures. This is contrasted with the core of the small subunit which is formed from two α-helices and two β-strands. In multicellular organisms there is a kink at the 325th residue which acts as a hinge for the small domain, which allows for the resulting conformational changes that take place upon the binding of inhibitors to the enzyme.

As was stated above, the active site of AST is situated on the large domain of the subunit. Within the active site is the amino residue Lys 258, also known as the internal aldimine, which binds with the cofactor Pyridoxal 5'-phosphate (PLP ) forming what is called a Schiff base. Upon the addition of an amino acid substrate, a new Schiiff base forms between PLP and the amino acid.

Function


AST catalyzes the reversible transamination of the α-amino group from L-aspartate to α-ketoglutarate forming oxaloacetate and glutamate. This reactivity is lower in E.coli than in higher eukaryotes, and has broader substrate specificity. However, the reaction takes place in the same way. Upon introduction of an amino acid substrate, a new Schiff base will form between it and the PLP cofactor. This causes the amino acid to lose a hydrogen and form a quinoid intermediate, and reprotanation takes place resulting in a ketimine. Next, the structure is hydrolyzed forming an α-keto acid and pyridoxamine phosphate. 2-methyl aspartate acts as an inhibitor of AST when it forms a Schiif base with the PLP cofactor, rather than aspartate. This results in the process stopping at the step prior to the alpha protein elimination.

This reaction is essential to maintaining homeostasis in organisms. The four different molecules that can form as a result of this transanimation (oxaloacetate, α-ketoglutarate, aspartate, L-glutamate) our critical to a number of metabolic processes. Oxaloacetate and α-ketoglutarate play a critical role in the Krebs cycle, varying forms of aspartate are important molecules in the urea cycle and participate in gluconeogenesis, and glutamate is an important molecule in metabolic pathways associated with memory.

Clinical Applications
The levels of AST in the body are indicative of tissue damage and disease. Normally AST is found in minimal amounts within the blood, however when the organs mentioned above are damaged, AST is released into the blood. The amount released is proportional to the level of damage sustained. AST levels have been shown to rise substantially within 6 hours of the initial tissue degradation and can stay elevated for up to 4 days. AST levels when compared with the levels of other enzymes can be used by physicians to determine where in the body the damage has taken place. Comparisons with ALT have proven particularly useful in identifying liver damage such as cirrhosis and hepatitis. Under normal condition, AST levels within men are 6-34 IU/L and for women it is 8-40 IU/L.